SymptomsBy Mayo Clinic Staff
Signs and symptoms of depression after childbirth vary, and they can range from mild to severe.
Postpartum baby blues symptoms
Signs and symptoms of baby blues — which last only a few days to a week or two after your baby is born — may include:
- Mood swings
- Feeling overwhelmed
- Reduced concentration
- Appetite problems
- Trouble sleeping
Postpartum depression symptoms
Postpartum depression may be mistaken for baby blues at first — but the signs and symptoms are more intense and last longer, eventually interfering with your ability to care for your baby and handle other daily tasks. Symptoms usually develop within the first few weeks after giving birth, but may begin later — up to six months after birth.
Postpartum depression symptoms may include:
- Depressed mood or severe mood swings
- Excessive crying
- Difficulty bonding with your baby
- Withdrawing from family and friends
- Loss of appetite or eating much more than usual
- Inability to sleep (insomnia) or sleeping too much
- Overwhelming fatigue or loss of energy
- Reduced interest and pleasure in activities you used to enjoy
- Intense irritability and anger
- Fear that you're not a good mother
- Feelings of worthlessness, shame, guilt or inadequacy
- Diminished ability to think clearly, concentrate or make decisions
- Severe anxiety and panic attacks
- Thoughts of harming yourself or your baby
- Recurrent thoughts of death or suicide
Untreated, postpartum depression may last for many months or longer.
With postpartum psychosis — a rare condition that typically develops within the first week after delivery — the signs and symptoms are even more severe. Signs and symptoms may include:
- Confusion and disorientation
- Obsessive thoughts about your baby
- Hallucinations and delusions
- Sleep disturbances
- Attempts to harm yourself or your baby
Postpartum psychosis may lead to life-threatening thoughts or behaviors and requires immediate treatment.
When to see a doctor
If you're feeling depressed after your baby's birth, you may be reluctant or embarrassed to admit it. But if you experience any symptoms of postpartum baby blues or postpartum depression, call your doctor and schedule an appointment. If you have symptoms that suggest you may have postpartum psychosis, get help immediately.
It's important to call your doctor as soon as possible if the signs and symptoms of depression have any of these features:
- Don't fade after two weeks
- Are getting worse
- Make it hard for you to care for your baby
- Make it hard to complete everyday tasks
- Include thoughts of harming yourself or your baby
If you have suicidal thoughts
If at any point you have thoughts of harming yourself or your baby, immediately seek help from your partner or loved ones in taking care of your baby and call 911 or your local emergency assistance number to get help.
Also consider these options if you're having suicidal thoughts:
- Call your mental health specialist.
- Call a suicide hotline number — in the U.S., call the National Suicide Prevention Lifeline at 1-800-273-TALK (1-800-273-8255).
- Seek help from your primary doctor or other health care provider.
- Reach out to a close friend or loved one.
- Contact a minister, spiritual leader or someone else in your faith community.
Helping a friend or loved one
People with depression may not recognize or acknowledge that they're depressed. They may not be aware of signs and symptoms of depression. If you suspect that a friend or loved one has postpartum depression or is developing postpartum psychosis, help them seek medical attention immediately. Don't wait and hope for improvement.
Aug. 11, 2015
- Depressive disorders. In: Diagnostic and Statistical Manual of Mental Disorders DSM-5. 5th ed. Arlington, Va.: American Psychiatric Association; 2013. http://www.psychiatryonline.org. Accessed July 16, 2015.
- Depression during and after pregnancy. WomensHealth.gov. https://www.womenshealth.gov/publications/our-publications/fact-sheet/depression-pregnancy.html. Accessed July 1, 2015.
- Postpartum depression. American Psychological Association. http://www.apa.org/pi/women/resources/reports/postpartum-dep.aspx. Accessed July 16, 2015.
- Frequently asked questions. Labor, delivery, and postpartum care FAQ091. Postpartum depression. American College of Obstetricians and Gynecologists. http://www.acog.org/-/media/For-Patients/faq091.pdf?dmc=1&ts=20150716T1631486138. Accessed July 16, 2015.
- Postpartum depression facts. National Institute of Mental Health. http://www.nimh.nih.gov/health/publications/postpartum-depression-facts/index.shtml. Accessed July 16, 2015.
- Roy-Byrne PP. Postpartum blues and unipolar depression: Epidemiology, clinical features, assessment, and diagnosis. http://www.uptodate.com/home. Accessed July 21, 2015.
- Roy-Byrne PP. Postpartum blues and unipolar depression: Prevention and treatment. http://www.uptodate.com/home. Accessed July 21, 2015.
- AskMayoExpert. Depression during pregnancy and postpartum. Rochester, Minn.: Mayo Foundation for Medical Education and Research; 2015.
- Marder S. Postpartum psychosis: Epidemiology, clinical manifestations, assessment, and diagnosis. http://www.uptodate.com/home. Accessed July 22, 2015.
- Marder S. Treatment of postpartum psychosis. http://www.uptodate.com/home. Accessed July 22, 2015.
- Butler Tobah YS (expert opinion). Mayo Clinic, Rochester, Minn. July 27, 2015.
- American Academy of Pediatrics. Intrapartum and postpartum care of the mother. In: Guidelines for Perinatal Care. 7th ed. Elk Grove Village, Ill.: American Academy of Pediatrics; Washington, D.C.: American College of Obstetricians and Gynecologists; 2012.
- Hall-Flavin DK (expert opinion). Mayo Clinic, Rochester, Minn. July 29, 2015.